제 2 부 / Lifestyle and Health : 성인들을 위한 금연교육

신성례 대한스포츠의학회 1999 대한스포츠의학회 WORKSHOP - 임상운동사 ( 처방 ) 연수 - Vol.- No.-

담배광고 목격경험과 담배회사의 사회공헌활동에 대한 선호도가 청소년의 현재 흡연과 미래 흡연의도에 미치는 영향

신성례,신선화,이복근,양진희 한국지역사회간호학회 2014 지역사회간호학회지 Vol.25 No.1

Purpose: To evaluate the influence of experiences of witnessing tobacco advertising and preferences of tobaccocompanies' social responsibility (CSR) on current and future smoking intentions in adolescents. Methods: Datawere collected from 700 adolescents living in Korea representing 7 metropolitan cities and 8 provinces in the methodof proportional random sampling. The Gallup's data collection system was adopted using 1:1 face to faceinterviews. The witness of tobacco advertising was determined by 'yes', or 'no' responses to three survey itemsand to four survey items for preferences of tobacco CSR. For statistical analysis, x2 test, Fisher's exact test andlogistic regression were used. Results: 98.4% of the adolescents had experiences of witnessing tobaccoadvertising. POP (OR=103.44, 95% CI: 8.22~1301.45) and magazine advertisement (OR=6.07, 95% CI: 1.34~22.58) had a significant effect on their current smoking. Also, POP (β=.24, p<.001) and movie advertisement (β=.42, p<.001) had a significant effect on their future smoking intentions. As for the preferences of tobacco CSR,cultural-art support activities (β=.15, p=.025) and environmental purifying campaigns (β=-.15, p=.034) had a significanteffect on their future smoking intentions. Conclusion: Witness of tobacco advertising and positive responsesto tobacco CSR are associated with current and future smoking intentions in adolescents.

중환자 전문간호사 수요추계연구

신성례,손은진 성인간호학회 2003 성인간호학회지 Vol.15 No.2

This descriptive study was conducted to project the number of critical care APNs needs in critical care units in an acute care hospital setting, up to the year 2020. Method: Necessary data and information were collected from various funded reports, professional literature, web-sites and personal visits to national and private institutions. The demand of critical care APNs were projected based on two critical care APNs per critical care units. Results: The projected number of critical APNs for the critical care units in acute care hospital settings as follows: 1) The total projected number f critical care APNs needed for critical care units were 1,270 in 2001. 2) By the year 2020, total number of projected needed in critical care units will be 1,080-1,700. Conclusion: In order to match the supply to the need, the professional organization should direct their efforts toward enacting legislation. Educational systems should identify strategies in initiation of critical care APNs programs in masters level as well as standardizing curriculums across the programs.

성인 금연자의 금연유형에 관한 연구 : Q 방법론적 접근 Q Methodological Approach

신성례,장성옥,김상숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose : The purpose of this study was to analyze the subjectivity of smoking cessation methods of smokers. Method : The Q. methodology which provides a method of analyzing the individual's subjectivity was used. The 34 subjects classified 38 selected Q-statements into a 9 point scale to make a normal distribution. The collected data was analyzed using a QUANL PC program. Result : Three types of smoking cessation among smokers were identified. Type I, Family Centered; Type Ⅱ, Suppressing Temptation; Type Ⅲ, Self Overcoming. Conclusion : This study results revealed that different approaches of support programs are needed to address the three types of smoking cessation and their characteristics

노인복지시설과 일반병원중심의 노인전문간호사 수요추계연구

신성례,오복자 노인간호학회 2003 노인간호학회지 Vol.5 No.2

Purpose : This descriptive study was conducted to project the number of Advance Practice Nurses (APNs) needed up to the year 2011 for welfare institutions (residental homes, nursing homes, nursing homes for people with severe illness, geriatric hospitals, public hospitals for people with dementia ), and acute care hospitals for elders. Method : Necessary data and information were collected from various funded reports, professional literature, web-sites and personal visits to national and private institutions. The demand for geriatric APNs was projected based on one geriatric APN per residental home, nursing home, nursing home for people with severe illness, and one geriatric APN for every 70 beds in acute care hospitals, geriatric hospitals and hospitals for people with dementia. Result : The projected number of geriatric APNs for welfare institutions and acute care hospitals is as follows : 1. The total projected number of geriatric APNs needed for welfare institutions in 2002 was 356, and for acute care hospitals, 402. 2. By the year 2011, the total number of institutions will be 1,777 and for acute care hospitals, 561-835. Conclusion : The total number of APNs needed by the year 2011 was projected as 2,338-2,612. In order to match supply to need, the professional organizations and educational systems should identify strategies to initiate APN programs in gerontology at the masters level and at the same time standardize the curriculum across programs.

남성들의 흡연과 성만족도에 관한 연구

신성례,장성옥,서경현 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: This study aimed to compare differences on sexual satisfaction between non-smokers and smokers of Korean adult males. Method: The subjects of this study were 304 current smokers and 331 current non-smokers(stop smokers, never smokers) (58.0%). Because of the nature of the study, the participants were recruited through a home page advertisement of a brand newspaper company in Korea, and the survey was done through Internet system. The tool t o measure participant's sexual satisfaction was adopted from the Arizona Sexual Experience Scale-Male. Result: Participant's age ranged from 20 to 49, mostly in their 30s-40s(96.1%). They were smoking average of 15 cigarettes per day. There were no significant difference on sexual satisfaction between current smokers and non-smokers(t=-.55, p>.05). However. there were significant difference on sexual satisfaction between ever smokers(n=481) and never smokers(n=154) (t=2.10. p<.05). There were significant differences an erectile and orgasm satisfaction according t o number of cigarettes they smoked per day. 54.5% smokers who said that they have difficulty in keeping erectile state considered on smoking cessation within 30 days whereas 24.2% in those who said that keeping erectile state was easy. Conclusion: Informing about the high risk of sexual dysfunction with cigarette smoking should become a important part of smoking cessation education and for smoking adolescents.

청소년들의 흡연량 자가보고와 소변코티닌과의 관계 연구

신성례 성인간호학회 1997 성인간호학회지 Vol.9 No.3

This descriptive study was conducted to investigate the factors related to adolescent's smoking and to find out relationship between their self reported cigarette smoking and urine cotinine level. The subjects for this study were 68 adolescents attending in a technical high school located in Seoul. The data was collected from April 1 to June 13, 1996 using a questionnaire and their urine was collected simultaneously for the cotinine analysis. The data were analyzed using descriptive statistics, t-test, GLM, Pearson Correlation using SAS program. The results of the study can be summarized as follows : 1. Those subjects who spend more than 2 hours each day with smoking friends, who spends more than 30,000 won from their parent's stipends each month, who recognize their smoking behavior can be accepted by their parents, who drink alcohol, smokes significantly more than those subjects who spend less than 2 hours each day with smoking friends, have less than 30,000 won from their parent's stipends each month, recognizes their parents will be very upset for their smoking behavior, who do not drink alcohol(self report : 94, p=.004 : t=3.875, p=.003 : t=4.46, p=.003 : t=4.08, p=.006, urine continine : t=2.678, p=.009 : t=3.229, p=.002 : t=2.84, p=.005 : t=3.29, p=.003). 2. There were positive correlation between their self report of cigarette smoking and urine cotinine level in all groups regardless of : having religion, level of satisfaction to school, length of time spent with smoking friends, amount of stipend each month, parent's response to their smoking behavior, drinking habits. However there was no relationship between their self report of cigarette smoking and urine cotinine level in a group who smoke more than 11 cigarettes each day. The findings of this study reveals that adolescents can provide fairly honest self reports of their cigarette smoking if trusting relationships can be established between the researcher and the subjects.

청소년들의 담배광고 목격경험과 흡연수용도가 성인기 흡연의도에 미치는 영향

신성례,정구철,이복근 한국청소년학회 2012 청소년학연구 Vol.19 No.10

The purpose of this study was to investigate the influence of cigarette advertising and susceptibility to smoking on future smoking intention. The data was collected from 995 adolescents aged between 12 and 18 living in Seoul and ChungNam area. Their socio-demographic characteristics, present smoking status, future smoking plan, exposure and frequency of advertising, and receptivity to tobacco advertising were collected. Chi-square tests and logistic regression analysis were carried out using SPSS version 19.0. The participants who were exposed to the cigarette advertisement (Odds Ratio(OR) 1.10; 95% Confidence Interval(CI) 1.05-1.15); who had higher receptivity score(OR=1.17; 95% CI=1.05-1.31) were favorable to future smoking. We concluded that the cigarette advertising increases the smoking receptivity and adulthood smoking plan among adolescents. 본 연구는 청소년들의 담배광고 목격 경험과 흡연수용도가 추후 성인기 흡연의도에 미치는 영향을 분석하기 위해 수행되었다. 연구대상은 중․고등학교 학생 995명이었으며, 수집된 자료는 SPSS(ver. 19.0)을 이용하여 χ2-test, ANOVA, 다중 회귀분석과 로지스틱 및 다항로지스틱 회귀분석을 통해 검정하였다. 분석결과 청소년들의 담배광고 목격경험은 흡연수용도에 유의한 정적 영향을 미쳤으며, 담배광고 목격 경험과 흡연수용도 모두 현재의 흡연상태에 유의한 정적 영향을 미쳤다. 평생 금연집단을 기준으로 하여 담배광고 목격 경험이 증가할수록 미결정 집단을 예측할 승산비(OR)는 1.10배, 흡연수용도가 증가할수록 성인기 흡연의도 집단을 예측할 승산비는 1.15배 증가하는 것으로 나타났다. 또한 미결정 집단을 기준으로 흡연수용도가 증가할수록 성인기 흡연의도 집단을 예측할 승산비는 1.17배로 분석되었다. 결론적으로 담배광고는 흡연수용도와 흡연할 확률을 높이고, 궁극적으로 성인기 흡연의도를 향상시키는 원인이 되므로 직․간접적인 모든 담배광고 금지에 관한 법률 제정과 같은 강력한 정책적 대안이 모색되어야 함을 논의하였다.

암 예방과 금연

신성례 대한종양간호학회 2008 Asian Oncology Nursing Vol.8 No.부록1호

대학생을 위한 캠퍼스 금연교육 프로그램의 효과

신성례,김선경 한국건강심리학회 2007 한국심리학회지 건강 Vol.12 No.4

본 연구는 흡연 대학생을 위한 캠퍼스 금연교육 프로그램의 효과를 파악하기 위하여 실시되었다. 대상자들은 금연교육 참석을 권고 받고 5회기의 소집단 교육에 참여한 45명의 흡연대학생들이었다. 교육 종료 후 대상자들은 12주에 걸쳐 전화상담과 문자 메시지를 제공받았다. 대상자들의 흡연 량은 교육 전에 비해 소집단 교육 후, 교육종료 후 각각 유의하게 감소되었다. 대상자들의 교육종료 후 금연 율은 42.2%였다. 대상자들의 흡연에 대한 태도, 스트레스, 흡연유혹정도는 유의하게 감소되었으며 흡연에 대한 지식, 학교정책에 대한 만족도는 교육 후 더 증가되었다. 결론적으로 본 연구에서 실시한 대학생을 위한 캠퍼스 금연교육 프로그램의 효과를 살펴볼 때 대학생대상의 캠퍼스 금연교육은 대상자들의 금연율, 지식, 대학금연정책에 대한 만족도를 상승시키는데 효과적이라 볼 수 있으며 이들의 흡연에 대한 태도를 부정적으로 변화시키고 스트레스와 흡연유혹을 감소시키는데 효과적이었음을 알 수 있다. 추후연구에서는 흡연대학생을 대상으로 하는 다양한 캠퍼스 금연교육 프로그램이 개발되어야 하겠다. This study was conducted to investigate the effects of a school based smoking cessation program for college students. The onegroup pretest-posttest design was used. Fourty five smoking students who were required to participate in smoking cessation program received 5 sessions of smoking cessation education consisted of small group discussion led by smoking cessation leaders. Twelve weeks of follow up care, consisted of telephone counseling and short message service was given. Student's smoking amount, smoking cessation rate, attitude, intention, knowledge, stress, temptation, and satisfaction of school policy was measured. Student's smoking amount was decreased. The smoking cessation rate was 42.2% after the 12 weeks . The attitude became more negative, the level of knowledge, satisfaction on required attendance of campus based smoking cessation program was increased after the education. The level stress, smoking temptation was decreased. This school based smoking cessation program was effective for increasing smoking cessation rate, knowledge, and satisfaction on school policy, decreasing the level of stress and temptation. In the future, more efforts should be given to develop campus based smoking cessation program.